目標：西方與臺灣有關勞工安全衛生保護的研究偏重技術層面的分析，欠缺對勞工參與層面的關注，為填補這個文獻的缺憾，本研究探討臺灣職業健康保護的勞工參與機制，以及目前這些機制的侷限與問題。 方法：從法律社會制度面出發，採用文獻及法律條文分析法，以「勞工參與」的概念為主軸，檢證目前制度中有關勞工參與職業安全衛生管理的機制，以及相關制度在規範設計面與制度執行面的問題。 結果：目前臺灣的職業安全衛生保護體系確實存在勞工參與機制，包括「工會」、「團體協商」、「勞資會議」、「勞工安全衛生工作守則」及「勞工安全衛生組織」五種制度，但是這個機制的落實卻有著種種的侷限與問題。 結論：目前勞工參與安全衛生管理之機制難以發揮實質作用，未來需要從幾個面向加強這個機制。可能的做法包括：強化工會的力量、加強勞工界與職業醫學界的互動、與增強政府的角色功能。

Objectives: Studies on the protection of workers’ health and safety in Taiwan and the West address mostly technical issues, paying little attention to the aspect of workers’ participation. To fill this literature gap, this study investigates the mechanisms through which workers participate in the protection of their own health and safety in the workplace in Taiwan. It also analyzes the problems and limitations of these mechanisms. Methods: This study is based on a literature analysis of the design and implementation of relevant laws and regulations. Results: The current system of occupational health and safety protection does contain mechanisms through which workers may participate in the protection of their own health and safety. These mechanisms include the trade union, collective bargaining, the labor-management conference, the health and safety work rules, and the labor health and safety committee. However, these mechanisms have many limitations and problems. Conclusions: The mechanisms of workers’ participation in occupational health and safety protection in Taiwan have limited impact and thus need to be strengthened. Possible strategies consist of empowering trade unions, increasing interactions between workers and occupational medicine experts, and strengthening the role of the government.